MEDICARE: DR. LYNDSAY HUDSON MCCASLIN D.M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	DN17630	FL
2	122300000X	Dentist	DN17630	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	591939028	OTHER	FL	TAX ID #

General Provider Information

NPI Number	:	1851481097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNDSAY HUDSON MCCASLIN D.M.D

Provider Business Mailing Address
First Line	:	3007 RIDGELINE BLVD STE A
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34688-9103
Country	:	US
Telephone Number	:	727-787-6453
Fax Number	:	727-771-7452

Provider Business Practice Location Address
First Line	:	3007 RIDGELINE BLVD STE A
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34688-9103
Country	:	US
Telephone Number	:	727-787-6453
Fax Number	:	727-771-7452

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	12/18/2023

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